| Beach View Dental Pc | |
|
711b Seagirt Ave Far Rockaway NY 11691-5730 | |
| (718) 471-3366 | |
| (718) 471-3366 |
| Full Name | Beach View Dental Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 711b Seagirt Ave, Far Rockaway, New York |
| Authorized Official Name and Position | Lilly Samuel (OFFICE MANAGER) |
| Authorized Official Contact | 7184713366 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Beach View Dental Pc 711b Seagirt Ave Far Rockaway NY 11691-5730 Ph: (718) 471-3366 | Beach View Dental Pc 711b Seagirt Ave Far Rockaway NY 11691-5730 Ph: (718) 471-3366 |
| NPI Number | 1063628832 |
|---|---|
| Provider Enumeration Date | 05/16/2007 |
| Last Update Date | 12/23/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063628832 | NPI | - | NPPES |
| 02631267 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 02631267 (New York) | Primary |
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